Provider Demographics
NPI:1487378360
Name:JOYOUS FAMILY LIVING
Entity type:Organization
Organization Name:JOYOUS FAMILY LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-269-8396
Mailing Address - Street 1:4701 HICKORY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8518
Mailing Address - Country:US
Mailing Address - Phone:336-269-8396
Mailing Address - Fax:
Practice Address - Street 1:4701 HICKORY VALLEY RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8518
Practice Address - Country:US
Practice Address - Phone:336-269-8396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health